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The Journal of Bone and Joint Surgery (American). 2004;86:84-90
© 2004 The Journal of Bone and Joint Surgery, Inc.

Radiographic Evaluation of Pathological Bone Lesions: Current Spectrum of Disease and Approach to Diagnosis

Benjamin G. Domb, MD, Wakenda Tyler, MD, MPH, Scott Ellis, MD and Edward McCarthy, MD

Corresponding author:
Benjamin G. Domb, MD
Department of Orthopaedics, Hospital for Special Surgery, Office of
Academic Training, 535 East 70th Street, New York, NY 10021. E-mail
address: bendomb@yahoo.com

The first 150 words of the full text of this article appear below.


   Introduction
 
Radiographic evaluation is an extremely powerful tool that allows the orthopaedic surgeon to characterize and classify bone lesions by their appearance and by the reaction of the surrounding bone and soft tissue. Careful and analytical characterization of bone lesions on plain radiographs often enables the surgeon to greatly narrow the differential diagnosis. The goal of this exhibit is to provide the reader with a fundamental algorithm for the radiographic evaluation of benign and malignant bone lesions. The algorithm is summarized in the flow charts in Figures 1 and 2, which provide a step-by-step process for the classification of lesions. Also shown in the charts are important examples of each category.


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  		Fig. 1 Algorithm for the classification of radiolytic bone lesions. CA = carcinoma, and PNET = primitive neuroectodermal tumor.

 

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  		Fig. 2 Algorithm for the classification of radiodense bone lesions. BPOP = bizarre parosteal osteochondromatous proliferation of bone.

 

Comparison of Radiodense and Radiolytic Lesions
The first step in this approach . . . [Full Text of this Article]


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